Conduct disorder

Definition:
A pattern of repetitive behavior where the rights of others or the social norms are violated.

Causes, incidence, and risk factors:

This disorder has been attributed to many factors including family and social dynamics, child abuse, being brought up in chaotic environments, or physical or chemical causes. The incidence is estimated to be as high as 10%, but further study is needed.

Symptoms:
  • Overt aggressive behavior, bullying, physical aggression
  • Cruel behavior toward people and pets
  • Destructive behavior
  • Lying, truancy, vandalism
  • Stealing
Signs and tests:

The only sure diagnostic test is a psychiatric evaluation; but there are questionnaires that can help make the diagnosis and eliminate others.

Treatment:

Treatment consists of a multimodal treatment program. The family should also be involved in therapy. Individual psychotherapy is needed to work on problem solving skills.

Expectations (prognosis):

The prognosis can be good with aggressive treatment and interventions, but without help Conduct Disorder is likely to progress into adulthood, when it is called Antisocial Personality disorder.

Calling your health care provider:

Children who get in trouble with the law or with school may need special attention; a doctor can help decide what types of interventions are likely to be helpful.

Prevention:

Since symptoms develop over time it is best for parents to recognize a child is at risk and get them into treatment quickly. The sooner the treatment the more likely the child will learn more adaptive techniques than the ones they are currently using.


Review Date: 5/18/2001
Reviewed By: Christos Ballas, M.D., Department of Psychiatry, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
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